Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review

BackgroundMobile and smartphones are owned and accessed by many, making them a potentially optimal delivery mechanism to reach pediatric patients with socially complex needs (ie, pediatric populations who face overlapping adversities). ObjectiveTo address the specialized needs of youth f...

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Main Authors: Stiles-Shields, Colleen, Potthoff, Lauren M, Bounds, Dawn T, Burns, Maureen T S, Draxler, Janel M, Otwell, Caitlin H, Wolodiger, Emily D, Westrick, Jennifer, Karnik, Niranjan S
Format: Article
Language:English
Published: JMIR Publications 2020-08-01
Series:JMIR Pediatrics and Parenting
Online Access:http://pediatrics.jmir.org/2020/2/e19269/
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author Stiles-Shields, Colleen
Potthoff, Lauren M
Bounds, Dawn T
Burns, Maureen T S
Draxler, Janel M
Otwell, Caitlin H
Wolodiger, Emily D
Westrick, Jennifer
Karnik, Niranjan S
author_facet Stiles-Shields, Colleen
Potthoff, Lauren M
Bounds, Dawn T
Burns, Maureen T S
Draxler, Janel M
Otwell, Caitlin H
Wolodiger, Emily D
Westrick, Jennifer
Karnik, Niranjan S
author_sort Stiles-Shields, Colleen
collection DOAJ
description BackgroundMobile and smartphones are owned and accessed by many, making them a potentially optimal delivery mechanism to reach pediatric patients with socially complex needs (ie, pediatric populations who face overlapping adversities). ObjectiveTo address the specialized needs of youth from such groups, this review synthesized the literature exploring the use of phone-based delivery to access pediatric populations with socially complex needs, targeting mental and behavioral health outcomes. The purpose of this synthesis was to provide recommendations for future research developing phone-based interventions for youth with socially complex needs. MethodsA trained medical librarian conducted the search strategy in the following databases: PubMed, Scopus, CINAHL, PsycINFO, Cochrane CENTRAL Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Google Scholar. Studies targeting youth with socially complex needs were defined by recruiting samples that were primarily from traditionally underserved populations (ie, sex/gender minorities, racial/ethnic background, low socioeconomic status, rural/remote location, and sexual orientation). A systematic narrative framework was utilized and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed (registration number CRD42020141212). ResultsA total of 14 studies met the inclusion criteria, with 3 depicting the use of phones to complete assessment and tracking goals and 11 to intervene on mental and behavioral health targets. ConclusionsThe literature indicates important directions for future research, including (1) involving diverse and representative teens (ie, the likely users of the interventions), stakeholders, and clinical/research staff; (2) integrating evidence-based therapies with minority-focused theories; (3) harnessing mobile device capabilities; and (4) considering and assessing for potential costs in phones as delivery mechanisms. Trial RegistrationPROSPERO CRD42020141212; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=141212
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spelling doaj.art-90d6a05f83624b6f96607a0eae0826502022-12-21T21:04:54ZengJMIR PublicationsJMIR Pediatrics and Parenting2561-67222020-08-0132e1926910.2196/19269Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic ReviewStiles-Shields, ColleenPotthoff, Lauren MBounds, Dawn TBurns, Maureen T SDraxler, Janel MOtwell, Caitlin HWolodiger, Emily DWestrick, JenniferKarnik, Niranjan SBackgroundMobile and smartphones are owned and accessed by many, making them a potentially optimal delivery mechanism to reach pediatric patients with socially complex needs (ie, pediatric populations who face overlapping adversities). ObjectiveTo address the specialized needs of youth from such groups, this review synthesized the literature exploring the use of phone-based delivery to access pediatric populations with socially complex needs, targeting mental and behavioral health outcomes. The purpose of this synthesis was to provide recommendations for future research developing phone-based interventions for youth with socially complex needs. MethodsA trained medical librarian conducted the search strategy in the following databases: PubMed, Scopus, CINAHL, PsycINFO, Cochrane CENTRAL Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Google Scholar. Studies targeting youth with socially complex needs were defined by recruiting samples that were primarily from traditionally underserved populations (ie, sex/gender minorities, racial/ethnic background, low socioeconomic status, rural/remote location, and sexual orientation). A systematic narrative framework was utilized and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed (registration number CRD42020141212). ResultsA total of 14 studies met the inclusion criteria, with 3 depicting the use of phones to complete assessment and tracking goals and 11 to intervene on mental and behavioral health targets. ConclusionsThe literature indicates important directions for future research, including (1) involving diverse and representative teens (ie, the likely users of the interventions), stakeholders, and clinical/research staff; (2) integrating evidence-based therapies with minority-focused theories; (3) harnessing mobile device capabilities; and (4) considering and assessing for potential costs in phones as delivery mechanisms. Trial RegistrationPROSPERO CRD42020141212; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=141212http://pediatrics.jmir.org/2020/2/e19269/
spellingShingle Stiles-Shields, Colleen
Potthoff, Lauren M
Bounds, Dawn T
Burns, Maureen T S
Draxler, Janel M
Otwell, Caitlin H
Wolodiger, Emily D
Westrick, Jennifer
Karnik, Niranjan S
Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review
JMIR Pediatrics and Parenting
title Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review
title_full Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review
title_fullStr Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review
title_full_unstemmed Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review
title_short Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review
title_sort harnessing phones to target pediatric populations with socially complex needs systematic review
url http://pediatrics.jmir.org/2020/2/e19269/
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